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巴西某社区女性对乳腺癌风险因素的认知

Women's knowledge about risk factors of breast cancer in a Brazilian community.

作者信息

Freitas Ângela Gabrielly Quirino, Weller Mathias

机构信息

a Programa de Pós-Graduação em Saúde Pública. Universidade Estadual da Paraíba (UEPB) , Campina Grande , Brasil.

出版信息

Women Health. 2019 May-Jun;59(5):558-568. doi: 10.1080/03630242.2018.1516266. Epub 2018 Oct 4.

Abstract

Knowledge about risk factors for breast cancer was identified as an important variable that affects women's avoidance behavior and their screening performance. The present study assessed women's knowledge about risk factors and associated socio-economic variables. Data from 417 women aged 20-86 years were obtained in Caicó, Rio Grande do Norte, Brazil. In agreement with the recognition of 26 potential risk factors and prevention behaviors, two groups with good (N = 203) and poor (N = 214) knowledge were formed, respectively. Having a close relative with cancer remained the unique significant variable in the adjusted model. Women without any close relative with cancer, were 1.54 (95% confidence interval [CI] 1.036-2.288) times as likely to have poor knowledge, compared to women who had a close relative with cancer (p = 0.033). Other socio-economic variables, including income, employment status and educational level had no significant association with knowledge (p = 0.450, p = 0.914, p = 0.639, respectively). Of 417 women, 302 (72.42%), 339 (81.29%), and 309 (74.10%), respectively, did not identify "physical inactivity," "overweight after menopause," and "no breastfeeding of children" as risk factors. Knowledge could help to avoid risk factors and motivate prevention behavior. Information about risk factors should be disseminated in health campaigns.

摘要

乳腺癌风险因素的知识被确定为影响女性回避行为及其筛查表现的一个重要变量。本研究评估了女性对风险因素及相关社会经济变量的了解情况。在巴西北里奥格兰德州的凯科,收集了417名年龄在20至86岁之间女性的数据。根据对26种潜在风险因素及预防行为的认知情况,分别形成了两组,即知识掌握良好组(N = 203)和知识掌握较差组(N = 214)。在调整后的模型中,有患癌近亲仍然是唯一显著的变量。与有患癌近亲的女性相比,没有任何患癌近亲的女性知识掌握较差的可能性是其1.54倍(95%置信区间[CI] 1.036 - 2.288)(p = 0.033)。其他社会经济变量,包括收入、就业状况和教育水平,与知识掌握情况均无显著关联(分别为p = 0.450、p = 0.914、p = 0.639)。在417名女性中,分别有302名(72.42%)、339名(81.29%)和309名(74.10%)未将“缺乏身体活动”“绝经后超重”和“未母乳喂养孩子”视为风险因素。知识有助于避免风险因素并激发预防行为。关于风险因素的信息应在健康宣传活动中进行传播。

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